| NPI | 1255973004 | 
|---|---|
| Former Name | LAURA BLAIR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: CO SLP.0004101)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: IL 146.015031)  | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-10-14 | 
| Last Update Date | 2024-02-08 |